drGo#c;2Lb 7KShvHZArHV1+'!(\\o}sBAc&B[M*O[=?zKg~C3Y(~tH^K0vf#!rhpqMG\BRP?@Ubc; OC What Exercises Can I Do After Bunion Surgery? Each doctor determines his or her post-op protocols based on multiple factors. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Over time, I put more and more weight on the surgical foot. Balance can be a challenge when your feet hurt, and the goal now is to re-balance your body after foot surgery, and exercise, (the right exercises) can help you achieve this goal. During this time, you can resume remote working if this is possible. However, if your work involves operating heavy machinery and walking around, you may only be able to return to such an occupation after 3 months. Forsome bizarrereason, one of the treatments is to fuse the MTP joint solid with one or more screws. All content provided in this blog, website, or any linked materials, including text, graphics, images, patient profiles, outcomes, and information, are not intended and should not be considered or used as a substitute for medical advice, diagnosis, or treatment. Copyright Regenexx 2023. Ei|a[chKbWW#YMrcm$By/ Bj2Z_-AJI>$;)!ICB!8OzK SBqBdhJ{0Y14F-P ,MDSFZ\hi30/=GP\j\!PbLA)?nTK)E63 RK4Q]#@eJ38-b2@hUrLWP4J%?2F2ZSnj@ }+1Y&) &_2x>||.!=w Perform three sets of 10 repetitions daily. You can find out more about which cookies we are using or switch them off in settings. I intentionally bought a size larger for inside the house so that I could wear socks with them. I was extremely tired and simply didnt seem quite right. Keep in mind that you should not start exercising without previous medical consultation. __________________________________________________, (1) Otter SJ, Lucas K, Springett K, et al. you are not made of glass. This will help you regain movement in your big toe. After you return home from the hospital, you will still need to stay off of your feet as much as possible. My tip would be to buy(we got off internet for NZ$200) a wheelchair. I have observed this increased strength in people who exerted a little more pressure on their pain point, hence giving them an edge towards handling their pain. Early on after surgery, try to do one set of pumps for each hour you are awake. During the post-op recovery phase, you should avoid activities that could cause re-injury. However, if your job involves heavy manual labour, you should not return to work for up to three months, depending on your recovery. I looked at the composition of the post-surgical shoe and observed that it was totally flat and extremely wide. I just want to be active again pain free! It was a great fit. Dont get hung up on any minor setbacks. Physical Therapy Following Sacroiliac Joint Fusion. The first time I returned to swimming, I spent most of my time walking in the water and only five minutes of swimming. Pull the toes towards your body with the help of the towel and keep that position for up to thirty seconds. so allow yourself to feel the exercise some. Your toe joint will be stiff and quite sore and swollen. Check out Sandras second website, https://thetravelingbornsteins.com. By the end of my adventure, my spirits were soaring and my foot was sore. Your doctor will remove your stitches about 2 weeks after the surgery. This morning first time I have showered in a normal shower I have a Motel complex so have a disabled shower with a seat mostly just sponge bathed unless needed to wash my hair. Our physiotherapists will be able to provide you with an exercise programme to gradually begin to increase the range of movement within your affected foot. I had no choice but to remain patient throughout this tedious process. The revision procedure involves removal of the implant and reconstruction of the great toe to restore function and relieve pain. If I went in for foot surgery, Id for sure follow your recovery tips. Since I rarely experience post-op bruising, I was surprised. With the support of the walker, try toe raises, heel raises, and hip rotations. Thanks for your patience. "Over the last 14 years, our procedure has had a very high success rate," says Joseph . The bruising covered the top half of my foot. I still needed to find an indoor shoe because I was instructed to avoid going barefoot. It will take 7 to 10 weeks before you can safely perform activities like hiking, running, cycling, tennis, etc., after a big toe fusion. Check out our previous posts: Disclaimer: Any information provided in this blog is not intended to replace medical advice given by qualified professionals. I like how you said that its good to stay positive. Prior to leaving the hospital, a physiotherapist will teach you how to navigate around using a pair of crutches. After checking with your doctor to ensure it is appropriate after your particular surgery, try these home exercises to aid in your rehabilitation after a foot procedure. 5. portions of bone, ligaments, and tendons of the affected foot based upon the severity of the bunion. Your article is great and it helps me see an end to this at some point. It will help protect your foot and keep your bones in the right position. The only exception is when the toe is not yet completely fused. Stand and keep your big toe on the ground, and push your body weight to force flexion on the toe. Around two weeks after your operation, your bulky dressings and stitches will be removed and you'll be given a toe alignment splint to wear, as well as exercises to help with your recovery. Once it has completely dried up and healed, you can go swimming and apply moisturiser to the wound itself to reduce scarring. As a result, I had to be extra careful so that I wouldnt topple. For additional information, I recommend reading Tips for Traveling With Crutches. moove_gdpr_popup Yes, I agree that its always best to focus on positive aspects of a situation. Lift your leg straight up until it is about 12 inches off the floor. If youre an active person, it will be harder to deal with your lack of independence. 3 0 obj Lesser Toe Surgery 5 PIPJ Arthroplasty/ PIPJ Arthrodesis/DIPJ Arthrodesis 5 Correction MTPJ Lesser Toes/ Stainsby Procedures 5 MIDFOOT PROCEDURES 6 First Tarso-Metatarsal Arthrodesis for Severe Hallux Valgus 6 Tarso-Metatarsal Arthrodesis (1,2 & 3) 6 ORIF Metatarsal Non-union/ First Tarso-Metatarsal Arthrodesis 6 Mid-foot Arthrodesis 7 % Running after toe fusion op. Reply Janna Banana over a year ago For background information, seeTips for Handling Multiple Doctors Opinions. It was almost three months post-op before my foot cooperated and I could drive my car again. Procedure. HOW TO DO IT: With your hands resting on a counter for balance, lift your heels off the ground as you rise up through your first and second toes. So unsure of my surgeon because its not getting better. The fusion of the smaller toes has actually given me more trouble than the big toes. Continue taking your pain killers regularly. I hope that your recovery is going well and that the swelling has diminished. Patient Testimonial: I cant recommend Onur Berber highly enough. I was so excited to put on my previously comfortable HOKA ONE ONE shoes. $B-Iejq( 7(:\&' *((PtH~9. Exercises to stretch and strengthen your toe, such as scrunching up a towel with your toes, may help in some cases. Keep in mind that your feet have more nerve-endings per square inch than any other body part. Pull the toes towards your body with the help of the towel and keep that position for up to thirty seconds. While each person is different, I personally found that the cushioning protected my foot when I wore them inside and outside the house. This technique helps to activate the intrinsic muscles in the foot that help to stabilize your arch while you stand and walk. You can set your browser to block or alert you about these cookies, but some parts of the site may not work then. Take care, Sandy. You should also be able to start driving a manual car, if advised by your consultant, but also check with your car insurance company. This memoir highlights Sandras living and teaching adventure in Bangalore, India. HOW TO DO IT: Sit in a chair with your bare feet on the floor. This week I met a patient who had a toe joint fusion. Example, those with shoulder injury should try everyday to touch the upper slab. 1st MTP Joint Fusion: If the big toe knuckle joint has a lot of arthritis or a very large deformity, fusion surgery will be recommended. I was on crutches for a few weeks, then my surgeon transferred me to a boot for another 6 weeks. Read books binge Netflix. Exercise: Most patients can use an exercise bike or elliptical trainer after 4 weeks, and can swim after 6 weeks. By lightly pulling on the towel, slowly bring your toes back towards you until you feel a stretch. Good luck! Cookies used: Upon reaching the limit, hold it for 10 seconds. Went to see surgeon this week for check up after 6 weeks and told him the syptoms and he has assured me that the pain in the ball of my foot is still swollen tissue as a big deep neuroma had been removed, and the pain in my toe is part of the nerve pain which will settle down in time,( It is like when you lose a limb, and can still feel your . So I explained what I have drawn in the picture above. Bev, As with any fusion, this surgery is a dog with fleas. 147 0 obj <> endobj 168 0 obj <>/Filter/FlateDecode/ID[<58C81D8E26B0384FAEE6C40116D36DEC>]/Index[147 64]/Info 146 0 R/Length 107/Prev 518608/Root 148 0 R/Size 211/Type/XRef/W[1 3 1]>>stream Home Blog Toe Joint Fusion Recovery: One Patients Story. Many factors can determine if this recurrence will happen, such as the level of deformity prior to operation or genetics. Patience is the key. I had no real pain after the surgery just discomfort. I ordered the HOKA ONE ONE recovery sandal. Ive cleared out my garden shed and set up a zero gravity chair so that on good days I can hobble out there and sit for a while in the winter sun. Repeat twelve times. I was instructed on how to use crutches so that I could be partially weight-bearing. You had some really great ideas and the thought of staying positive always helps. Acknowledge Pain While I knew that none of the proposed surgical procedures offered a 100% guarantee, I was willing to go ahead with the procedure that made the most sense. Exercises such as swimming with a pull-buoy between your legs (so as to avoid kicking with your legs) and basic water aerobic exercises can often be quite beneficial. Orthopaedic Specialist Partnership LLP 2022 | Privacy policy | Cooking settings. When this is easy, progress the exercise by staring straight ahead or by closing your eyes. Physical therapy after hammertoe surgery is crucial if you want to achieve faster healing and increase mobility and flexibility. Its even possible that other parts of your leg may hurt. Big toe fusion surgery is often recommended for patients suffering from big toearthritis and severe bunions. However, when you fuse the big toe, that energy has to go someplace. So thankful to have found this post. I always have pain, sometimes excruciating. Following the doctors orders would be very important. I hope that your recovery is going well and you are able to return to most activities.Good luck. I missed the entire season last year due to my knee and foot injuries. Due to the time needed to heal my bone graft, I was advised to avoid high impact activities for at least six months. endobj After accepting the invitation to attend the media trip, I worked toward being able to walk a mile and to stand for at least 10 minutes. Ive trekked a few more times in Summit County, Colorado. When the cast was removed, I was placed back into an orthopedic boot. Toe Joint Fusion Recovery: One Patients Story. Part 1 Setting Yourself Up for Recovery 1 Stock up on food and other supplies. I recommend that you continue to use common sense as you go through the remaining rehab process and ask questions of your medical providers. When it gets bad, it can result in lost range of motion in the metatarsophalangeal (MTP) joint, and the medical term for this is hallux rigidus (Latin for rigid toe) (1). Toe touches. With post-operative follow-ups, the surgeon will advise when the patient can gradually begin weight bearing activities and physical therapy. First MTP Joint Fusion For Big Toe Arthrititis | Jeddah Foot & Ankle Surgeon. Selected clinics are also available in Ascot and Brighton. Should a Middle Aged Person Have Medial Meniscus Surgery? Try lying on your back and pulling your . Since the alignment of the foot is maintained by not only the muscles of the foot, but also those of the hip, knee, and core area, your therapist will also assess your overall lower limb alignment and prescribe strengthening exercises for any areas that require it. . Since the joint is removed, there is no movement through it. You don't have to spend hours exercising your feet! Brenda, Do you have experience dealing with foot surgery? It is important, however, not to overdo it, so try to avoid walking long distances. Tailors Bunion Surgery: A Comprehensive Overview, From Diagnosis To Recovery: Navigating Your Journey With Posterior Tibial Tendonitis, Understanding The Benefits Of Sports Medicine For Foot And Ankle Injuries. As with any fusion, this surgery is a dog with fleas. Raise your good foot in the air as you attempt to balance on the affected leg. The swelling will disperse over the . 2012-2023 Sandra Bornstein | All Rights Reserved, Sandra contributes a monthly travel tip column for. While looking downwards, walk with a heel to toe pattern as though you are on a tightrope. yo have been quite helpful Thanks, Rebecca, The Foot & Ankle Orthopaedic Surgeon 1.68K subscribers Subscribe 93 Share 19K views 1 year ago This video goes through the chance of. Patience is another important ingredient to the overall success of your rehab process. #1: Toe Lifts These simple exercises work the upward mobility of your big toe joint. Keeping this cookie enabled helps us to improve our website. High-impact sports should still be avoided but swimming is generally fine. Bob, Bunion Surgery Update - 6 Weeks Post Operation If youve been sedentary for a while, take it slowly as you resume activity. Hence, dont immediately buy in when a fusion is recommended, and get lots of opinions. Begin by looking at your feet while you balance. Toe exercises after hammertoe surgery are necessary for proper recovery and preventing hammer toe recurrence. He advised us to go to the ER an hour away if the pain didnt improve with elevation and extra strength Tylenol . Wow! 5-10 minutes (or more), 2-3 days a week, for targeted, short, quick foot fitness workouts with the right . Do you have any questions or concerns regarding the big toe fusion surgery that I didnt answer? Adjustment is important. My situation was a bit more complex since my pre-surgical foot pain prevented me from completing the physical therapy for my knee. This past week I transitioned to a full size boot which is equally as heavy and tightly confining as the casts, but thankfully Ive been able to remove it a couple times a day which feels 500% better , although it needs to be worn at night when the worst pain comes.I guess my number one question is, when can I expect the pain to subside because this is not what I thought I had signed up for. Listen to Your Body and Gradually Increase Activity Level. This invitation provided an incentive to reach an obtainable goal. Surgically fusing joints together has become big business over the last two decades. Lori, I feel fortunate that my surgery and post op recovery corrected my situation. To . Beth's feet after healing from the Cartiva procedure. This sandal will help you to walk while avoiding bearing weight on the areas operated on. Our specialisms cover knee, foot & ankle, spine, shoulder, elbow, hand & wrist, hip & groin, chest & ribs, podiatry and pain conditions. During that visit, she mentioned that her rightankle was hurting. Hold this position for 20 to 30 seconds; repeat three times, twice per day. I definitely knew when my leg was down too long. In the majority of cases, youre sent home on the same day unless the surgery was performed later in the day, then you may be advised to spend the night at the hospital. viewed_cookie_policy The second cast was put on crooked at 4 weeks forcing my foot to the right , putting more pressure on the incision site causing a horrible sensation of electrocution so I have not been a happy camper relying in Tylenol and 200 mg of Gabapentin daily which seems to do nothing! No high heels to worn until 3 months after surgery. Robyn, I am so sorry to hear about the difficulties you have experienced during your recovery process. A Big Toe Fusion is an operation to permanently stiffen the big toe. Whats the recovery timeline? She shares her experiences and recommendations on this blog and on other websites. From my experience, I would rather look forward to the end of a recovery than cope with endless days of pain with little hope of improvement. I sincerely hope that your procedure will eventually improve your situation. After toe fusion. Joint resection can help with a fixed hammer toe. The most common were walking, biking, weightlifting, swimming, running, and golf. *DISCLAIMER: Like all medical procedures, Regenexx Procedures have a success and failure rate. Bunion Correction Surgery. My dad might have to get foot surgery. But, at about five weeks post-op, I rounded the corner. Hold this position for as long as you can before placing your other foot on the ground again. Sandra contributes a monthly travel tip column forGolden Living, a Best Version Media magazine. Some patients go home the day of surgery. Focus on the benefits of your surgery rather than the frustrations that normally encompass a surgical procedure. Unregistered, Jan 15, . Use your other hand to grasp the area under the toe joint and gently pull in either direction while allowing your toe to remain straight. Who is a good candidate for big toe fusion? Do not mistake the smaller interphalangeal joint which is . Its more common in women, and weve observed its more common in people with chronic low-back pain. Yes, active people struggle when they need to be in a rehab mode and cannot do everything that they want to do. Why? Degenerative arthritis results from wear and tear on the joint surface over time. Ive always tried to incorporate water aerobics using Hydro Fit products, walking in the pool, and swimming with Aqua Sphere training flippers as part of my rehab process. In the spine, theres a name for this problem: adjacent segment disease, or ASD (2). The fused toe is stiff as one would expect. With every step I can feel my foot swelling. Hold this position for 30 seconds before releasing the tension. Mayo Clinic has developed a unique revision surgery for people who experience a failed first metatarsophalangeal joint replacement. Tandem Walk Tandem walking is a great balance exercise that also helps you regain a normal gait pattern after a surgery. I had my bunion surgery on July 19. Yikes! If you need surgery, I hope you have a positive outcome. Im pleased with my recovery process. Hope the recovery will be over soon! Just a few weeks later, the bruising was gone. 86 clinic locations offering non-surgical Regenexx solutions for musculoskeletal pain. My doctor did the foot surgery anyway but I do feel like I was thrown from a tall building instead of having had surgery. Given those profit margins, there is an entire army of orthopedic sales reps who sell this hardwareto surgeons and hospitals. When you get the green light to start with the exercises, toe crunches will be one of the most important ones. The road to a recovery after a foot surgery can be a tricky one. Pain and swelling are common side effects and each type of operation has its own unique challenges. Toe socks and metatarsal pads are other helpful natural footgear in rehabilitating the foot after surgery. Hold for 10 seconds and slowly lower. No crutches either. Repeat it between ten and twelve times and then start the exercise again, but this time pull the big toe up while the rest of your toes should be pointing to the floor. Simply walking in the pool can be the first step. Turn basic exercises like walking, jumping, lunging, or leg lifts into muscle-building, calorie-torching workouts!. Yoga and Pilates promote strength and flexibility, while also getting your heartrate up and improving circulation. For the first couple of weeks, my foot was wrapped in an oversized soft cast. Bunion surgery (including Tailors bunion), Comprehensive arthroscopic management (CAM), Open reduction and internal fixation (ORIF), Foot and ankle, limb reconstruction & bone infection, What to expect after big toe fusion surgery. Hold this position for 1 to 2 seconds before lowering back down again. Loop a towel around the toes on your surgical foot. Remember the swelling is likely to persist (albeit slowly improving) until 4-6 months after surgery. Your body is strong and wants to recover and get stronger. cookielawinfo-checkbox-non-necessary. It is usually a day-case procedure. Thereafter, I was able to gradually increase the weight I distributed on both of my feet. In the first 4-6 weeks, simple routines work best. HOW TO DO IT: Stand in a long hall way or an open room. One of the links at the bottom of this article is to a story that discusses how I handled multiple opinions. endobj Tarsometatarsal fusion - Fusion of a joint in the mid-foot. Attempt three sets of 10 repetitions each day. Everyone heals at their own rate so its not possible for another to provide any estimations for a recovery process. I was able to walk an easy five-mile mountain trail. As a former teacher, I say THUMBS UP to this shoe. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else. However, there are some precautions that you MUST observe including: The good news was that her toe felt better, but the bad news was that her ankle felt worse. Other exercises like walking uphill and climbing up the steps is a great way to increase the flexibility in the big-toe joint. But your body will send blunt messages when youve overdone it. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. Hallux rigidus is a degenerative type of arthritis that affects the large joint at the base of the big toe (sometimes called the great toe). Sandy. Thanks for sharing your story,its really very helpful. If you start too early and dont do these exercises correctly, you can intensify the pain after hammertoe surgery and interfere with the natural healing process, which will prolong the recovery. x[ms6|31B t:n'NOv&Z$2R\] $%Ru:S@~3#pv<>"`>3IVG_d#|&X" --2.3aGSz204aHd+KONox3|swI8avw3>OMW/]SO{B8)4xBC&1US9>Er{VNT:^DWmpMQya5/kxtCkeuI:}"l)C3}Dj]ohk.a0rN& The Altra shoe solved my outdoor concerns. The goal of surgery is to make the great joint solidly aligned and immobile. For more details about recovering from big toe joint fusion surgery, read our downloadable patient information leaflet. This exercise also helps to push swelling from the foot by contracting your calf muscle. Also, this alters your gait in ways that cant easily be fixed. Use life-giving positivity to put the breaks on your negative thoughts and negative life-draining negativity. Most especially hiking. While surgery is not always the appropriate response, it can be an effective way to eliminate or minimize pain. Each person has his or her own recovery story. Since then the nerve pain has gotten worse and its worse at night so I be been getting zero sleep which turns me into a grouchy monster the next morning. I m a very active type A personality so I cant wait to get back on my feet! Sandy. Khadijah, I am overweight and have a habit of walking barefoot around the house, which I have read is not good. While admiring the view, I breathed in deeply. Ranging from 1 to 5 pounds, they allow you to progressively increase strength and endurance in a safe manner. If so, do you have anything to share? Put the foot on the opposite tight, place your finger between the toes, and squeeze them together. HOW TO DO IT: Stand at a counter or sink for support. It sounds like you are taking steps to prepare while also keeping a positive attitude. A little TLC may be warranted. Try exercises . This website uses cookies so that we can provide you with the best user experience possible. Your foot may have some mild bruising, and when it is put down will feel sore and swell. I have never had an Op before or been in Hospital apart from Maternity. Toe exercises such as toe crunches and taps, however, should be performed even after the surgery after consulting with a medical expert. Finally tomorrow he is giving me the walking boot. Still, the care of your feet shouldnt stop when surgery ends. The invasive procedure is extremely helpful in correcting toe malformation and reducing pain in the metatarsophalangeal joint. Once fusion is successful, you will be able to wear most shoes, including a high heel if desired of about one and a half inches. Appropriate toe exercises will reduce stiffness and scar tissue development and improve circulation after the surgery, which will have an overall positive impact on the recovery process. This simple balance exercise helps your foot regain the stability it needs to negotiate uneven surfaces. Some medical teams have the option of offering, Having hallux rigidus, also known as a stiff big toe, can make standing or walking difficult because of the pain. Big toe fusion is generally a 45-60 minute procedure. When you reach the end of the towel, reverse the exercise and move the towel outwards again. All of my HOKA ONE ONE shoes irritated the incision line on the top of my foot and increased the pain in the metatarsal region. Im working on it. Tips for Handling Multiple Doctors Opinions. The condition may follow an injury to the joint or, in some cases, may arise without a well-defined injury.This guide will help you understand: I found your article very helpful and will save it and re- read after my surgery for bunion, plantar plate tear and rotated hammer toe this coming Friday. " b L{#9GE .bm:`+fh53#(P-*Xm3c-V*z6'nGk_C>~8'Uu37z0;ztmEvSKm'Q36-ryT&.G C(-V1J#Estow(Es}sm J&6,Lleu=lo1MC'U2;hp5 q.DQS>]r40^wr7H8.o)2@dmuL)i=iig59]Q The operation in general will involve 1-2 incisions around each toe that requires straightening. Today, I will share what I learned from this foot surgery and simultaneously offer tips for people who are contemplating foot surgery or are presently going through the recovery phase. 5. If youre thinking about going through this procedure, make sure you find out which toe exercises are the most effective. I was thrilled that I could do this at less than 6-weeks post-op. Big toe fusion recovery often includes new places that crop up with pain. 0F@ts1_n&@| F* endstream endobj 148 0 obj <>/Metadata 12 0 R/Pages 145 0 R/StructTreeRoot 22 0 R/Type/Catalog/ViewerPreferences 169 0 R>> endobj 149 0 obj <>/MediaBox[0 0 595.32 841.92]/Parent 145 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 150 0 obj <>stream Good luck! Do this for several days and, after feeling strong enough, start using your toe while walking, climbing the stairs and performing other advanced motions with it. In the beginning stages, a hammertoe condition can be improved with different non-invasive treatments, while surgery is needed in more advanced ones. After careful consideration of surgical and non-invasive options, I consented to ganglion metatarsal bone cyst foot surgery. While ordering shoes online can be a disastrous experience, I decided to take a gamble. I know how hard it is to remain sedentary when you want to be active. Thanks again and best wishes with your continued recovery. That way he can tell me how to fix my knee. Symptoms of osteoarthritis of the big toe include tenderness, achiness and pain at the joint, and occasionally, a burning sensation. You can do this with one toe at a time or perform the exercise with all the toes simultaneously. However, you should also check with your car insurance provider. To do toe lifts, you start with one foot flat on the ground. That fusion of the big-toe joint was transmitting forces up the kinetic chain to the ankle, so it wasnt surprising that her ankle now hurt. Once you do, start returning toes to the ground, one by one, starting from the small toe. Gradually, increase the amount of time you spend upright. Physical therapy is prescribed by the surgeon and/or specialist who recommended surgery, and typically includes a combination of the following: Follow your doctor's instructions for putting weight on your foot. Big toe fusion surgery is covered by both Medicare and private health funds only when performed by an orthopaedic surgeon (medical doctor). Repeat until you get to the end of the towel, then start over. Hi Sandra, The procedure requires a minor incision to be made on top of the big toe and the removal of damaged bone prior to the fusion of the joint with a tiny plate and screw. These are indications that you need to slow down your pace. I slowed my pace when I approached the uneven rocky surfaces and the wooden footbridges that crossed small creeks. Good Luck. At about 5 weeks post-op, I went on a business road trip. Yoga/Pilates Yoga is another exercise that you can jump right into after surgery.
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